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Rural Health Information Hub

Rural Health
Resources by Topic: Reimbursement and payment models

Health Costs, Coverage and Delivery State Legislation Database
Identifies enacted state legislation addressing healthcare costs, access, and health system efficiencies. Topics covered include alternative payment methods, health insurance marketplaces, health system consolidation and competition, Medicaid reforms, price transparency, surprise billing, and telehealth. Searchable by state, topic, keyword, year, status, and primary sponsor. Updated every two weeks, with information on legislation starting in 2022.
Type: Database
Sponsoring organization: National Conference of State Legislatures
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Quality Payment Program Webinar Library
Offers recordings of webinars on the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program. Includes overviews of the Merit-based Incentive Payment System (MIPS), measure development, regulations, support calls, and more.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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PubMed Search: Rural Payment and Reimbursement
Searches PubMed's collection of journal article citations on the topic of rural healthcare payment and reimbursement.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Rural Healthcare Payment and Reimbursement Topic Guide
Resources and information on how rural healthcare providers are reimbursed by different payers and payment systems and the impact of payment policies on rural healthcare.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Rural Northern Border Healthcare Support Technical Assistance Center
Provides technical assistance to rural healthcare providers and communities in the Northern Border Region. Supports providers and communities exploring and implementing strategies related to improving access to care, workforce recruitment and retention, and transition to value-based care. Part of the Rural Health Redesign Center.
Type: Website
Sponsoring organization: Rural Health Redesign Center
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Telehealth Best Practice Guides
Library of guides offering information and resources related to telehealth billing, strategy, and implementation. Topic areas include behavioral healthcare, chronic conditions, maternal health, and school-based services.
Type: Website
Sponsoring organization: U.S. Department of Health and Human Services
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Medicare Learning Network: Hospital Outpatient Prospective Payment System
Provides general information about the Medicare Hospital Outpatient Prospective Payment System (PPS). Includes information about payment rates, Ambulatory Payment Classification groups, price transparency, and more.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Acute Care Hospital Inpatient Prospective Payment System
Provides general information about the Medicare Acute Care Hospital Inpatient Prospective Payment System (PPS). Includes information on Medicare Disproportionate Share Hospitals (DSHs), Sole Community Hospitals (SCHs), Medicare Dependent Hospitals (MDHs), the Rural Referral Center (RRC) Program, and Low-Volume Hospitals (LVH).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Long-Term Care Hospital Prospective Payment System
Provides general information about the Medicare Long-term Care Hospitals Prospective Payment System (PPS). Includes information about payment rates and the Long-term Care Hospitals Quality Reporting Program.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Skilled Nursing Facility Prospective Payment System
Provides general information about the Medicare Skilled Nursing Facility Prospective Payment System (PPS). Includes information about payment rates, the SNF Quality Reporting Program, and the SNF Value-based Purchasing Program.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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